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Afib and taking only Sotalol

Heart Rhythm Conditions | Last Active: Sep 13 9:18pm | Replies (20)

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I have both SVT and AF. I was on metoprolol for years when diagnosed with only SVT. Then a holter test in 2021 showed episodes of SVT and Afib and the cardiologist switched me to Sotalol. No talk of anticoagulants. The cardiologist has been practising medicine for 50 years. I got caught off guard by the Afib because i didn't discover it till i got home and read the holter report myself. I think he just assumed the doc who treated me 4 years ago had told me about the AF.

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Replies to "I have both SVT and AF. I was on metoprolol for years when diagnosed with only..."

The first time i saw the 2021 holter report was yesterday, in case i didn't make that clear. I read it after i got home from my cardio appointment.

Normally, unless there is a specific reason to not do so, a cardiologist who learns his/her patient has formally diagnosed AF will ask that person to take a DOAC. They go by the CHA2DS2-VASc calculated score where if the patient is at 2 or above, they are supposed (?) to be placed on a DOAC. Maybe your score is under that, or perhaps your cardiologist is concerned that a DOAC is counterproductive for you. Might be something to run past that person next time.